Nursing Elites

1. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

2. What is the correct way to represent 8,600,000,000,000 in scientific notation with two significant figures?

• A. 8.6 x 10^12
• B. 8.6 x 10^-12
• C. 8.6 x 10^11
• D. 8.60 x 10^12

Correct answer: A

Rationale: The correct way to represent 8,600,000,000,000 in scientific notation with two significant figures is 8.6 x 10^12. Scientific notation involves expressing a number as a decimal (with one non-zero digit before the decimal point) multiplied by a power of 10. In this case, 8,600,000,000,000 is correctly written as 8.6 x 10^12 to maintain two significant figures and the appropriate magnitude. Choice B (8.6 x 10^-12) is incorrect as it represents a very small number due to the negative exponent. Choice C (8.6 x 10^11) is incorrect as it does not account for the magnitude of the original number. Choice D (8.60 x 10^12) is incorrect because it unnecessarily adds a zero after the decimal point, which is not warranted by the original number's precision.

3. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

4. Which of the following statements about the autonomic nervous system (ANS) is true?

• A. It controls involuntary functions
• B. It contains motor (efferent) neurons
• C. It contains sensory (afferent) neurons
• D. It contains both parasympathetic and sympathetic nerves

Correct answer: D

Rationale: The correct answer is D because the autonomic nervous system (ANS) is responsible for controlling involuntary functions and contains both parasympathetic and sympathetic nerves. Choices A and B are incorrect as they do not fully capture the role of the ANS. While the ANS does control involuntary functions, this is a broader concept than just the reflex arc. While the ANS does contain motor (efferent) neurons, it also includes sensory (afferent) neurons, which are not specifically mentioned in the question. Therefore, choice C is not fully accurate. Choice D provides the most accurate and comprehensive description of the autonomic nervous system by highlighting its components, the parasympathetic and sympathetic nerves, which work together to regulate various bodily functions.

5. Which of the following factors does NOT affect the rate of dissolution of a solute in a solvent?

• A. Temperature
• B. Pressure
• C. Surface area
• D. Particle size

Correct answer: B

Rationale: Pressure does not affect the rate of dissolution of a solute in a solvent. The factors that affect the rate of dissolution include temperature, surface area, and particle size. Temperature generally increases the rate of dissolution by providing more energy for the solute particles to break apart and mix with the solvent. Increasing the surface area of the solute by grinding it into smaller particles or increasing its contact area with the solvent can also speed up dissolution. Similarly, reducing the particle size of the solute can increase the rate of dissolution by providing more surface area for interaction with the solvent. Pressure, however, does not have a significant impact on the dissolution process and is not a factor that influences the rate at which a solute dissolves in a solvent.

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